<div>
	<form method="post" id="form_${action_id}" name="form_${action_id}">
	<input id="entity.region.id" name="entity.regionId" value="${regionId?default('')}" type="hidden" style="width:300px;" class="easyui-validatebox"  />
    <table class="form-table" cellpadding=3>
        <tr>
            <td>${action.getDatagridTitle('product')}:</td>
            <input id="entity.product" name="entity.product.id" style="width:300px;"  type="hidden"></input>
			<td><input id="value_name_${action_id}" onClick="selectProduct_${action_id}()" readonly="readonly" style="width:300px;" class="easyui-validatebox"  ></input></td>
        </tr>
        <tr>
            <td>${action.getDatagridTitle('count')}:</td>
            <td><input id="entity.count" name="entity.count" class="easyui-numberspinner" style="width:120px;" data-options="precision:0,min:0,value:0"></td>
        </tr>
    </table>
	</form>
</div>

